Individual
MIRANDA TERRY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5444 S GREEN ST, MURRAY, UT 84123-5632
(801) 815-4933
Mailing address
5444 S GREEN ST, MURRAY, UT 84123-5632
(801) 815-4933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9548948-8906
UT
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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